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使用往复式和连续旋转式镍钛器械进行根管再治疗

Root canal retreatment using reciprocating and continuous rotary nickel-titanium instruments.

作者信息

de Souza Patricia Fonseca, Goncalves Leonardo Cantanhede Oliveira, Marques Andre Augusto Franco, Junior Emilio Carlos Sponchiado, Garcia Lucas da Fonseca Roberti, de Carvalho Fredson Marcio Acris

机构信息

Department of Endodontics, State University of Amazonas, Manaus, Amazonas, Brazil.

Department of Endodontics, Federal University of Amazonas, Manaus, Amazonas, Brazil.

出版信息

Eur J Dent. 2015 Apr-Jun;9(2):234-239. doi: 10.4103/1305-7456.156834.

Abstract

OBJECTIVE

The complete filling material removal during endodontic retreatment is a clinical procedure difficult to achieve. The aim of this study was to evaluate the efficacy of reciprocating and continuous rotary nickel-titanium instruments used in root canal retreatment.

MATERIALS AND METHODS

Forty freshly extracted human premolars were cleaned and shaped by the crown-down technique, followed by filling by the lateral compaction technique. The teeth were randomly separated into two groups (n = 20), according to the system used for filling material removal: G1 - Reciproc and G2 - ProTaper Universal Retreatment System. The teeth were photographed under operating microscope at ×8 magnification; and the total area of the root canal and remaining filling material were quantified.

RESULTS

No statistically significant difference (P > 0.05) in residual filling material was observed between groups; however, the time required for filling removal was significantly shorter for Reciproc system (P < 0.05).

CONCLUSIONS

It was observed remaining filling material in all teeth, irrespective of the system used; however, root canal retreatment was faster when reciprocating motion was used.

摘要

目的

根管再治疗过程中完全去除充填材料是一项难以实现的临床操作。本研究的目的是评估往复式和连续旋转式镍钛器械在根管再治疗中的疗效。

材料与方法

40颗新鲜拔除的人前磨牙采用冠向下技术进行清理和塑形,然后采用侧向加压技术进行充填。根据用于去除充填材料的系统,将牙齿随机分为两组(n = 20):G1 - Reciproc组和G2 - ProTaper Universal再治疗系统组。在手术显微镜下以×8放大倍数拍摄牙齿照片;并对根管总面积和剩余充填材料进行量化。

结果

两组之间在残余充填材料方面未观察到统计学显著差异(P > 0.05);然而,Reciproc系统去除充填材料所需时间明显更短(P < 0.05)。

结论

无论使用何种系统,在所有牙齿中均观察到有残余充填材料;然而,使用往复运动时根管再治疗速度更快。

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